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[Federal Register Volume 78, Number 179 (Monday, September 16, 2013)]
[Notices]
[Page 56867]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-22461]

[[Page 56867]]

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DEPARTMENT OF DEFENSE

Office of the Secretary

[Docket ID: DoD-2013-HA-0192]

Proposed Collection; Comment Request

AGENCY: Office of the Assistant Secretary of Defense for Health 
Affairs, DoD.

ACTION: Notice.

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SUMMARY: In compliance with Section 3506(c)(2)(A) of the Paperwork 
Reduction Act of 1995, the Office of the Assistant Secretary of Defense 
for Health Affairs announces a proposed public information collection 
and seeks public comment on the provisions thereof. Comments are 
invited on: (a) Whether the proposed collection of information is 
necessary for the proper performance of the functions of the agency, 
including whether the information shall have practical utility; (b) the 
accuracy of the agency's estimate of the burden of the proposed 
information collection; (c) ways to enhance the quality, utility, and 
clarity of the information to be collected; and (d) ways to minimize 
the burden of the information collection on respondents, including 
through the use of automated collection techniques or other forms of 
information technology.

DATES: Consideration will be given to all comments received by November 
15, 2013.

ADDRESSES: You may submit comments, identified by docket number and 
title, by any of the following methods:
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments.
     Mail: Federal Docket Management System Office, 4800 Mark 
Center Drive, East Tower, Suite 02G09, Alexandria, VA 22350-3100.
    Instructions: All submissions received must include the agency 
name, docket number and title for this Federal Register document. The 
general policy for comments and other submissions from members of the 
public is to make these submissions available for public viewing on the 
Internet at http://www.regulations.gov as they are received without 
change, including any personal identifiers or contact information.

FOR FURTHER INFORMATION CONTACT: To request more information on this 
proposed information collection or to obtain a copy of the proposal and 
associated collection instruments, please write to the National Center 
for Telehealth and Technology (T2), OMAMC 9933 West Hayes ST, Joint 
Base Lewis-McChord 98433 or call (253) 968-4838.

SUPPLEMENTARY INFORMATION:
    Title; Associated Form; and OMB Number: Department of Defense 
Suicide Event Report, 0720-TBD.
    Needs and Uses: This data system will provide integrated enterprise 
and survey data to be used for direct reporting of suicide events and 
ongoing population-based health surveillance activities. These 
surveillance activities include the systematic collection, analysis, 
interpretation, and reporting of outcome-specific data for use in 
planning, implementation, evaluation, and prevention of suicide 
behaviors within the Department of Defense. Data is collected on 
individuals with reportable suicide and self-harm behaviors (to include 
suicide attempts, self harm behaviors, and suicidal ideation). All 
other DoD active and reserve military personnel records collected 
without evidence of reportable suicide and self-harm behaviors will 
exist as a control group. Records are integrated from enterprise 
systems and created and revised by civilian and military personnel in 
the performance of their duties.
    Affected Public: Individuals and households.
    Annual Burden Hours: 330.
    Number of Respondents: 1975.
    Responses per Respondent: 1.
    Average Burden per Response: 10 minutes.
    Frequency: As required by a qualifying event.
    Form completers are behavioral and medical health providers, 
military unit leadership or their designees. The DoDSER form is used to 
collect information regarding suicide events of military service 
members. Form completers collect information from military personnel 
records, military medical records, enterprise data systems within the 
DoD and persons (respondent) familiar with the event details. 
Respondents include but are not limited to family members, friends, 
unit members, unit leadership and clergy members. The DoDSER form data 
is used to produce ad hoc reports for services leadership and the 
DoDSER Annual Report. The annual report is a comprehensive on the data 
collected which provides information for the DoD suicide prevention 
effort.

    Dated: September 11, 2013.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2013-22461 Filed 9-13-13; 8:45 am]
BILLING CODE 5001-06-P
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